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Oracle Health

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Oracle Health, formerly Cerner Corporation then Oracle Cerner, is a US-based, multinational provider of health information technology (HIT) platforms and services. As of February 2018, it had 27,000 customers globally[3] and 29,000 employees, with over 13,000 at its headquarters in North Kansas City, Missouri.[4][5][6]

Oracle Cerner
Company typeSubsidiary
Nasdaq: CERN
IndustryHealth information technology
Founded1979; 45 years ago (1979)
Founders
HeadquartersKansas City, Missouri, US
Key people
David Feinberg (President and CEO)[1]
ProductsHealth informatics software
RevenueDecrease US$5.5 billion (2020)
Increase US$914.6 million (2020)
Increase US$780.1 million (2020)
Total assetsIncrease US$7.5 billion (2020)
Total equityIncrease US$4.5 billion (2020)
Number of employees
26,400 (2020)
ParentOracle Corporation
Websiteoracle.com/health
Footnotes / references
[2]

In December 2021, Oracle Corporation announced an agreement to acquire Cerner for US$28.3 billion.[7] The deal closed in June 2022, with Cerner becoming part of the broader Oracle brand.[8]

History

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Cerner was founded in 1979 by Neal Patterson, Paul Gorup, and Cliff Illig, who were colleagues at Arthur Andersen. Its original name was PGI & Associates but was renamed Cerner in 1984 when it rolled out its first system, PathNet.[9] It went public in 1986.[10] Cerner's client base grew steadily in the late 1980s, reaching 70 sites in 1987, 120 sites in 1988, 170 sites in 1989, and reaching 250 sites in 1990. Installations were primarily of PathNet systems.[11]

During this time, Cerner was developing components of a Health Network Architecture (HNA), an integrated IT system designed to automate health care processes. Clients could purchase individual components or the whole system at one time. By 1994, more than 30 clients had purchased the full HNA system, while 100 clients had purchased multiple components of the system.[11]

In 1997, the company introduced Cerner Millennium, an upgrade to its HNA system which incorporated all of the company's software offerings into one unified architecture. The introduction of Millennium contributed to significant growth for the company, with revenue increasing to $1.1 billion in 2005[12] from $245.1 million in 1997.[13]

Cerner acquired IMC Health Care, Inc. in early 2010 to continue expanding its wellness services to outside commercial employers, pharmacies, and wellness programs.[14]

In July 2010, president Trace Devanny left the company[15] and Patterson became the company's president, in addition to his roles as chairman and chief executive officer.[16] In September 2013, Zane Burke was named president, assuming the title from Patterson.[17]

On August 5, 2014, Cerner announced its intent to purchase Siemens Health Services, the health information technology business of Germany's Siemens AG, for $1.3 billion.[18] The acquisition was completed on February 2, 2015.[19]

On July 29, 2015, Leidos Partnership for Defense Health, which includes Cerner, Accenture, and Leidos, was awarded a 10-year, $4.3 billion contract to overhaul and manage the electronic health records for the Department of Defense.[20]

CEO and co-founder Neal Patterson died July 9, 2017.[21] On January 10, 2018, Brent Shafer was named Chairman and CEO and took over leadership responsibilities in February 2018.[22]

On September 4, 2019, Cerner laid off 255 employees as part of an ongoing cost-cutting effort and reorganization.[23] This continued in February 2020 with Cerner selling parts of its healthcare IT business in Germany and Spain to German company CompuGroup Medical SE for €255 million.[24][25]

In 2020, Cerner announced the hire of three new C-suite executives including Jerome Labat as chief technology officer (CTO), Darrell Johnson as chief marketing officer (CMO) and William Mintz as chief strategy officer (CSO).[26]

On August 19, 2021, Cerner announced that Dr. David Feinberg, vice-president and head of Google Health, will become President and CEO of Cerner, effective October 1, 2021.[27][28]

On December 20, 2021, Oracle Corporation announced an agreement to buy Cerner for approximately $28.3 billion.[29] The deal closed in June 2022.[8]

Products

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Oracle Cerner's primary product is the Cerner Millennium platform, an electronic health record (EHR) system.[30] Within the Millennium ecosystem, additional modules exist which can be 'plugged into' Millennium to extend the available features and configuration:

  • Cerner FirstNet, emergency department system
  • Cerner SurgiNet and SurgiNet Anaesthesia Application (SAA), used for surgical and procedural interventions
  • Cerner RadNet, a radiology information system
  • Cerner PathNet, a laboratory information system
  • Cerner PowerChart, the main clinical documentation and ordering module
  • Cerner CareAware, used to connect biomedical devices into Millennium
  • Cerner Learning Framework[31]

The Millennium product is also offered as a cloud-based solution as Millennium+. Cerner also offers the Cerner Learning Framework, a specially designed training and adoption package for facilities transitioning to the Cerner EHR ecosystem. The Cerner CCL (Cerner Command Language), is a SQL-like programming language developed by Cerner and used throughout Cerner products to develop technical capability.

Controversy

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In 2001, a memo authored by CEO Patterson and sent to about 400 managers was leaked online. The memo, written in harsh language, was meant to motivate the managers to get more productivity out of employees and promised layoffs, a hiring freeze, closing of an "Associate Center," and the implementation of a punch-card system if Patterson did not see evidence of changes. Patterson's metric was the fullness of the company's Kansas City office lot at the hours of 8 a.m. and 5 p.m. The memo was widely seen as inflammatory and reflective of poor management, and Cerner's stock price fell 22% over three days.[32]

In 2005, Cerner and other companies paid for a report by the RAND Corporation which predicted great efficiencies from electronic health records, including savings of $81 billion a year or more, which RAND now says is overstated. This report helped drive growth in the electronic health record and billions of dollars in federal incentives to hospitals and doctors. Cerner's revenue tripled from $1 billion in 2005 to a projected $3 billion in 2013. The study was criticized by the Congressional Budget Office for overstating potential savings. A 2013 reassessment of the 2005 report by the RAND Corporation said that the conversion had failed to produce savings and had mixed results in efficiency and patient care.[33]

Australia

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The Cerner Millennium product, including the FirstNet, SurgiNet/SurgiNet Anaesthesia and RadNet platforms, form the Integrated Electronic Medical Record (ieMR) system in the state of Queensland, Australia. ieMR is used throughout the state's public health and hospital system, Queensland Health. Delivered in tranches across the 16 regional Hospital and Health Services, the complete roll-out of Cerner Millennium has drawn criticism at a cost of over A$1.45 billion and taking more than 10 years to roll-out across the state.[34] As of 2023, works continues to roll-out ieMR across the across remaining non-digital and partially digital facilities.[35]

In 2018, Queensland Health through its digital health solutions agency, eHealth Queensland, began a restricted tender process to purchase a Patient Administration System (PAS) solution, to replace the aging iSoft PAS first introduced in the early 1990s.[36] The procurement process was successful with the Cerner PAS solution being chosen. In early 2019, allegations arose surrounding an undeclared relationship and conflict of interest between Richard Ashby, chief information officer of eHealth Queensland, and a Cerner employee. The allegations resulted in the resignation of Ashby, the matter being referred to the Queensland Crime and Corruption Commission for investigation, and the collapse of the PAS replacement project.[37] The commission subsequently found insufficient evidence to prosecute Ashby for corrupt conduct.[38]

Canada

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In 2016, the emergency department of Nanaimo Regional General Hospital in Nanaimo, British Columbia began using the system. The implementation, which cost $230 million,[39] was met with widespread criticism, with staff calling it a "huge failure" due to an increase in software errors resulting in reduced efficiency of the department.[40] An investigation by British Columbia's Health Ministry indicated that the project was not correctly planned or implemented and that organizational dysfunction at the facility contributed to the failure.[41]

United Kingdom

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In 2014, a coroner ruled that a three-year-old heart patient died as a result of a delay to his treatment at Bristol Royal Hospital for Children. The coroner ruled that the hospital's outpatient booking system was responsible for the child not being seen or receiving treatment.[42] The Royal United Hospital had recently installed the Cerner Millennium system. However appointments for the hospital's legacy booking system were not migrated to the new system.[43]

United States

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Cerner's 2002 installation of a computerized health system in the UPMC Children's Hospital of Pittsburgh was said to have made doctors and nurses less effective in emergency situations. Phillip Longman, a senior fellow at the New America Foundation, wrote in 2009 that a study conducted by the hospital and published in the journal Pediatrics showed "mortality rates for one vulnerable patient population—those brought by emergency transport from other facilities—more than doubled, from 2.8 percent before the installation to almost 6.6 percent afterward."[44] Defenders of Cerner in the study charged that the Pittsburgh hospital did not adequately prepare for the transition to the Computerized Provider Order Entry (CPOE) system because it had simultaneously modified its pharmacy process, did not provide adequate wireless bandwidth, and did not have order sets pre-programmed on day one. They stated that other hospitals that more carefully planned the implementation did not experience the same problems.[45]

Girard Medical Center in Crawford County, Kansas, hired Cerner in 2010 to install an electronic records system. According to a lawsuit Girard filed against Cerner, the company received $1.3 million from the county but failed to get the system running in time to qualify for federal incentive payments, and in September 2011 notified the hospital that it was abandoning the project. Cerner and executives at Girard agreed that Girard did not have adequate staff to manage the acquisition and implementation of the system.[46] As of June 2014, the case remained in arbitration.[33][47] The outcome will likely be kept confidential due to contract provisions.[48]

In 2012, Trinity Health, a large hospital in North Dakota, sued Cerner, claiming that Cerner's patient accounting software didn't work correctly. The parties settled for $106M in 2014.[49]

A 2014 California grand jury found that Cerner knew the Ventura County healthcare agency was unprepared to complete a $32 million installation. Also in 2014, a $31 million Cerner implementation at the Athens Regional Health System in Georgia had many problems, leading to forced resignations by the CEO and the CIO of ARHS.[47]

Sweden

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Concern has been expressed that because the US CLOUD Act could enable US authorities to request data managed by US companies, Swedish patient data managed by Cerner might be disclosed based on this requirement. Based on this concern, the regions of Västra Götaland and Skåne decided to store all patient data managed by Cerner in Swedish data centers.[50]

In 2022, the regional director of the Västra Götaland regional health care system (VGR) sent a letter to Cerner claiming a breach of contract for deployment of the Millennium system. The letter stated that there were numerous issues with the system that Cerner had declined to address. At the same time, a deployment of Millenium in the Skåne region was delayed.[51][52]

In November 2024 the Millenium system began being implemented at some of the VGR healthcare facilities. The implementation had many problems, including serious problems with transcription which resulted in patient risk. These problems caused VGR to stop implementation and go back to their previous systems, and delayed the rollout until further notice.[53]

Locations

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Cerner's world headquarters campus is at 2800 Rockcreek Parkway, North Kansas City, Missouri.[54] It acquired additional space in Kansas City, Missouri in 2005[55] and in 2006 it acquired another location in Kansas City.[56] In 2013, Cerner announced plans to redevelop 236 acres in south Kansas City, Missouri into an office park. The site was previously occupied by Bannister Mall, which was demolished in 2009.[57] Cerner broke ground on the new campus on November 11, 2014. The $4.45 billion project intends to employ 16,000 new Cerner workers within the decade.[58]

Cerner has offices in about 25 countries worldwide.[59]

  •  
    Since 2006 Cerner has also occupied space in the former Marion Laboratories in Kansas City, MO
  •  
    Ground floor of Cerner Innovations Campus in Kansas City, MO
  •  
    Cerner Health Services building in Malvern, PA

References

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  1. ^ Jennings, Katie. "Cerner Names Google Health Exec David Feinberg As New CEO, As President Donald Trigg Departs". Forbes.
  2. ^ "Cerner Corporation 2020 Annual Report". investors.cerner.com. 31 December 2020. Retrieved 18 October 2021.
  3. ^ Smith, Dan (6 February 2018). "Cerner Reports Fourth Quarter and Full Year 2017 Results". globenewswire.com/. GlobeNewswire. Retrieved 12 February 2018.
  4. ^ "Cerner Continuous Campus | JE Dunn Construction". www.jedunn.com. Archived from the original on 6 January 2022. Retrieved 12 October 2019.
  5. ^ "Major Employers". Economic Development Corporation of Kansas City. Retrieved 12 October 2019.
  6. ^ "About Us". Cerner. Retrieved November 9, 2018.
  7. ^ CNBC. "Oracle to buy medical records company Cerner in its biggest acquisition ever". Retrieved 20 December 2021.
  8. ^ a b Miller, Ron (7 June 2022). "Oracle quietly closes $28B deal to buy electronic health records company Cerner". TechCrunch.
  9. ^ "Cerner Corporation: Cerner Timeline". Cerner.com. Archived from the original on 2010-01-03. Retrieved 2010-03-16.
  10. ^ "International Directory of Company Histories", Vol. 16. St. James Press, 1997
  11. ^ a b "History of Cerner Corporation – FundingUniverse". www.fundinguniverse.com.
  12. ^ Richard McGill Murphy (April 27, 2006). "49 companies batting a billion". Fortune Small Business Magazine.
  13. ^ "Cerner 1994 Q4 Financials". Archived from the original on February 4, 2014.
  14. ^ Monegain, Bernie. "Cerner acquisition to expand its employer health centers". Healthcare IT News. No. 18 December 2009. Retrieved 7 April 2015.
  15. ^ "Cerner, Form 8-K, Current Report, Filing Date July 13, 2010" (PDF). secdatabase.com. Retrieved Mar 23, 2013.
  16. ^ "Cerner President Trace Devanny to Step Down". Cerner.com. Retrieved 2010-07-14.[permanent dead link‍]
  17. ^ Stafford, Diane (4 September 2013). "Health care software maker Cerner names Zane Burke its president". The Kansas City Star. Retrieved 7 April 2015.
  18. ^ Conn, Joseph (2 February 2015). "Cerner closes Siemens Health Services purchase, boosts overseas revenue 50%". Modern Healthcare. Retrieved 7 April 2015.
  19. ^ Frank, John N.; Tahir, Darius (9 August 2014). "Cerner buys Siemens' health IT unit for $1.3 billion". Modern Healthcare. Retrieved 7 April 2015.
  20. ^ Amy Brittain (2015). "Cerner wins $4.3 billion DoD contract to overhaul electronic health records". The Washington Post. Retrieved 2015-07-29.
  21. ^ Corporation, Cerner (9 July 2017). "Cerner Announces Passing of Chairman and CEO Neal Patterson".
  22. ^ Monegain, Bernie (10 January 2018). "Cerner names Philips leader Brent Shafer as CEO". HealthcareITNews.
  23. ^ "Cerner lays off 250 employees as part of cost-cutting effort". ModernHealthcare. 4 September 2019.
  24. ^ Cerner Sells Off Parts of Healthcare IT Business in Germany and Spain for $248M, hitconsultant.net.
  25. ^ "Cerner sells software products to German company for $248M". www.beckershospitalreview.com. Retrieved 2020-02-25.
  26. ^ "Cerner hires Mintz as new chief strategy officer". www.bizjournals.com. Retrieved 2020-09-04.
  27. ^ Mickle, Tripp (19 August 2021). "Google Health Boss Leaves to Take Over Cerner". Wall Street Journal. Retrieved 2021-08-22.
  28. ^ Corporation, Cerner. "Cerner Announces Appointment of David Feinberg, M.D. as President and Chief Executive Officer". Cerner. Retrieved 2021-08-22.
  29. ^ "Oracle Buys Cerner". www.prnewswire.com.
  30. ^ "InterSystems Products". Archived from the original on 2013-11-04. Retrieved 2020-02-05.
  31. ^ "Cerner CEO Unveils Next-generation Cognitive Platform in Health Conference Keynote". Retrieved 5 February 2020.
  32. ^ Wong, Edward (5 April 2001). "A Stinging Office Memo Boomerangs; Chief Executive Is Criticized After Upbraiding Workers by E-Mail". The New York Times.
  33. ^ a b Reed Abelson and Julie Crewswell, In 2nd Look, Few Savings From Digital Health Records", The New York Times, January 11, 2013.
  34. ^ Hendry, Justin (21 June 2022). "Queensland gov sinks another $300m into e-health record system rollout". IT News. Retrieved 11 October 2023.
  35. ^ "Integrated electronic medical record (ieMR)". Queensland Health. 20 March 2023. Retrieved 11 October 2023.
  36. ^ Cowan, Paris (9 September 2015). "Qld Health asks for $227m to replace patient admin system". IT News. Retrieved 11 October 2023.
  37. ^ Hendry, Justin (31 January 2019). "eHealth Queensland chief suddenly resigns". IT News. Retrieved 11 October 2023.
  38. ^ Hendry, Justin (19 September 2019). "Former Qld Health CIO cleared by corruption watchdog". IT News. Retrieved 11 October 2023.
  39. ^ "B.C. government steps in on problem-plagued hospital IT project | CBC News". CBC. CBC. Retrieved 17 January 2018.
  40. ^ Harnett, Cindy (May 27, 2016). "Nanaimo doctors say electronic health record system unsafe, should be shut down". Times Colonist. Retrieved 28 May 2016.
  41. ^ Davis, Jessica (January 15, 2018). "Canadian Cerner EHR investigation finds install was mismanaged, underfunded". Healthcare IT News. Retrieved December 26, 2021.
  42. ^ "Three-year-old heart patient Samuel Starr died after NHS system 'failure'". TheGuardian.com. 5 March 2014.
  43. ^ "UK Coroner Fingers NHS Computer System in Toddler's Death". 10 March 2014.
  44. ^ Phillip Longman, "Code Red", Washington Monthly, July/August 2009, Retrieved 2018-04-28
  45. ^ Han, Yong Y.; Carcillo, Joseph A.; Venkataraman, Shekhar T.; Clark, Robert S. B.; Watson, R. Scott; Nguyen, Trung C.; Bayir, Hülya; Orr, Richard A. (December 2005). ""Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System", Han et al., 116 (6) 1506-1512". Pediatrics. 116 (6): 1506–1512. doi:10.1542/peds.2005-1287. PMID 16322178. S2CID 24233742. Retrieved 2018-10-12.
  46. ^ Joel Schectman for the WSJ CIO Blog. June 26, 2012 Kansas Hospital's Failed EMR Project Shows Peril of Vendor Relations Gone Bad
  47. ^ a b Shaun Sutner for Health IT Pulse. June 20, 2014 2014 so far a bumpy stretch for Cerner Corp.
  48. ^ Hospital EMR and EHR lawsuits 2012-2014, Retrieved 2018-04-28
  49. ^ Anne Zieger for Hospital EMR & EHR. March 12, 2014 Cerner Agrees To Pay $106M Over Allegedly Defective Software
  50. ^ Cederberg, Jesper (4 December 2020). "Skånskt beslut om patientdata väcker frågor om sekretess". Läkartidningen (in Swedish). Sweden. Retrieved 2 April 2022.
  51. ^ Lärka, Per (10 February 2022). "Skånes nya journalsystem sågas – leverantör krävs på stort skadestånd" (in Swedish). Sweden. SVT. Retrieved 2 April 2022.
  52. ^ Pramsten, Sara (14 February 2022). "Nytt journalsystem drar ut på tiden – VGR vill ha pengar tillbaka". Läkartidningen (in Swedish). Sweden. Retrieved 2 April 2022.
  53. ^ "Efter massiva kritiken – införandet av Millennium pausas". DN.se (in Swedish). 15 November 2024. Retrieved 10 December 2024.
  54. ^ "Cerner - Contact Us". www.cerner.com.
  55. ^ Emporis GmbH. "Riverport Campus-Cerner Corporation, Inc., - World Headquarters in North Kansas City, Mo., Kansas City, U.S.A." Emporis. Archived from the original on October 24, 2012. Retrieved 2010-03-16.{{cite web}}: CS1 maint: unfit URL (link)
  56. ^ Emporis GmbH. "Cerner Corporation-South Campus, Bldg #I, Kansas City, U.S.A." Emporis.com. Archived from the original on October 24, 2012. Retrieved 2010-03-16.{{cite web}}: CS1 maint: unfit URL (link)
  57. ^ "Demolition Begins On Old Bannister Mall". KMBC-TV. 2009-01-21. Archived from the original on 2011-07-19.
  58. ^ Diane Stafford (2014-11-13). "Cerner breaks ground for its Trails Campus in south Kansas City". Kansas City Star. Retrieved 2015-03-31.
  59. ^ Bloomberg profile Page accessed July 22, 2015
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